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KEVIN ANDREW SHEPHERD
NPI 1316409717
Dentist - Periodontics in Knoxville, TN

Active since April 03, 2019
6672 CLINTON HWY STE 108, KNOXVILLE, TN 37912(865) 484-3997 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2026, Oct 31, 2022, Apr 3, 2019 (3 updates tracked since 2019).

About Kevin Andrew Shepherd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN ANDREW SHEPHERD (NPI 1316409717) is an individual periodontics provider in Knoxville, Tennessee, licensed in Tennessee (11263) and active in the NPI registry since April 2019. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1316409717
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameKEVIN ANDREW SHEPHERD
Location Address6672 CLINTON HWY STE 108Knoxville, TN 37912-1040
Mailing Address1750 Commons Point Dr Ste 105Knoxville, TN 37932-1861 · (229) 416-7589
Phone(865) 484-3997
Sole ProprietorNo
Enumeration DateApril 3, 2019
Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1316409717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TN · 11263
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
6672 CLINTON HWY STE 108, Knoxville, TN 37912
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Secondary Practice Locations 4

Location 1228 Hamilton Crossing DrAlcoa, TN 37701-2262 · Phone (865) 355-7428
Location 27584 Barnett WayPowell, TN 37849-3564 · Phone (865) 223-5329
Location 31705 Saint Mary StKnoxville, TN 37917-4510 · Phone (865) 370-2128
Location 4125 Biddle Farms Blvd Ste E-300Farragut, TN 37934-3604 · Phone (865) 876-0907

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAGE DENTAL OF KNOXVILLE AT CLINTON HIGHWAY, PLLC
Dentist
6672 CLINTON HWY STE 108
KNOXVILLE, TN 37912
Knox County (561) 999-9650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Shepherd's NPI number?

The NPI number for Kevin Shepherd is 1316409717. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Kevin Shepherd located?

Kevin Shepherd practices at 6672 Clinton Hwy Ste 108, Knoxville, TN 37912. The listed phone number is (865) 484-3997.

What is Kevin Shepherd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Kevin Shepherd was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.